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Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal

BACKGROUND: Cervical cancer ranks as the most common cancer among Nepalese women with a high incidence and mortality. Despite evidence that effective screening programs reduce disease burden, screening services are under-utilized. Cancer stigma can be a major barrier to cervical cancer screening upt...

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Autores principales: Paneru, Bandana, Karmacharya, Aerona, Bharati, Alina, Makaju, Soniya, Adhikari, Bikram, Kafle, Dikshya, Shakya, Sunila, Spiegelman, Donna, Seth, Sangini, Stangl, Anne, Shrestha, Aamod Dhoj, Shrestha, Archana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194964/
https://www.ncbi.nlm.nih.gov/pubmed/37200234
http://dx.doi.org/10.1371/journal.pone.0285771
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author Paneru, Bandana
Karmacharya, Aerona
Bharati, Alina
Makaju, Soniya
Adhikari, Bikram
Kafle, Dikshya
Shakya, Sunila
Spiegelman, Donna
Seth, Sangini
Stangl, Anne
Shrestha, Aamod Dhoj
Shrestha, Archana
author_facet Paneru, Bandana
Karmacharya, Aerona
Bharati, Alina
Makaju, Soniya
Adhikari, Bikram
Kafle, Dikshya
Shakya, Sunila
Spiegelman, Donna
Seth, Sangini
Stangl, Anne
Shrestha, Aamod Dhoj
Shrestha, Archana
author_sort Paneru, Bandana
collection PubMed
description BACKGROUND: Cervical cancer ranks as the most common cancer among Nepalese women with a high incidence and mortality. Despite evidence that effective screening programs reduce disease burden, screening services are under-utilized. Cancer stigma can be a major barrier to cervical cancer screening uptake among Nepalese women. OBJECTIVES: This study assessed the association between cancer stigma and cervical cancer screening uptake among women residing in semi-urban areas of Kavrepalanchok district (Dhulikhel and Banepa), Nepal. METHODS: We conducted a cross-sectional study among 426 women aged 30–60 years using telephone interview method from 15(th) June to 15(th) October 2021. A validated Cancer Stigma Scale (CASS) was used to measure cancer stigma and categorized women as presence of cancer stigma if the mean total score was greater than three. We obtained information on cervical cancer screening uptake through self-reported responses. Univariable and multivariable logistic regression were performed to assess the association between cancer stigma and cervical cancer screening uptake. We adjusted socio-demographic: age, ethnicity, occupation, religion and education, and reproductive health variables: parity, family planning user, age of menarche and age at first sexual intercourse during multivariable logistic regression. RESULTS: Twenty-three percent of women had cancer stigma and 27 percent reported that they had ever been screened for cervical cancer. The odds of being screened was 0.23 times lower among women who had stigma compared to those who had no stigma (95% CI: 0.11–0.49) after adjusting for confounders: age, ethnicity, occupation, religion, education, parity, contraceptive use, age of menarche and age at first sexual intercourse. CONCLUSION: Women residing in semi-urban areas of Nepal and had cancer stigma were less likely to have been screened for cervical cancer. De-stigmatizing interventions may alleviate cancer stigma and contribute to higher uptake of cervical cancer screening.
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spelling pubmed-101949642023-05-19 Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal Paneru, Bandana Karmacharya, Aerona Bharati, Alina Makaju, Soniya Adhikari, Bikram Kafle, Dikshya Shakya, Sunila Spiegelman, Donna Seth, Sangini Stangl, Anne Shrestha, Aamod Dhoj Shrestha, Archana PLoS One Research Article BACKGROUND: Cervical cancer ranks as the most common cancer among Nepalese women with a high incidence and mortality. Despite evidence that effective screening programs reduce disease burden, screening services are under-utilized. Cancer stigma can be a major barrier to cervical cancer screening uptake among Nepalese women. OBJECTIVES: This study assessed the association between cancer stigma and cervical cancer screening uptake among women residing in semi-urban areas of Kavrepalanchok district (Dhulikhel and Banepa), Nepal. METHODS: We conducted a cross-sectional study among 426 women aged 30–60 years using telephone interview method from 15(th) June to 15(th) October 2021. A validated Cancer Stigma Scale (CASS) was used to measure cancer stigma and categorized women as presence of cancer stigma if the mean total score was greater than three. We obtained information on cervical cancer screening uptake through self-reported responses. Univariable and multivariable logistic regression were performed to assess the association between cancer stigma and cervical cancer screening uptake. We adjusted socio-demographic: age, ethnicity, occupation, religion and education, and reproductive health variables: parity, family planning user, age of menarche and age at first sexual intercourse during multivariable logistic regression. RESULTS: Twenty-three percent of women had cancer stigma and 27 percent reported that they had ever been screened for cervical cancer. The odds of being screened was 0.23 times lower among women who had stigma compared to those who had no stigma (95% CI: 0.11–0.49) after adjusting for confounders: age, ethnicity, occupation, religion, education, parity, contraceptive use, age of menarche and age at first sexual intercourse. CONCLUSION: Women residing in semi-urban areas of Nepal and had cancer stigma were less likely to have been screened for cervical cancer. De-stigmatizing interventions may alleviate cancer stigma and contribute to higher uptake of cervical cancer screening. Public Library of Science 2023-05-18 /pmc/articles/PMC10194964/ /pubmed/37200234 http://dx.doi.org/10.1371/journal.pone.0285771 Text en © 2023 Paneru et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Paneru, Bandana
Karmacharya, Aerona
Bharati, Alina
Makaju, Soniya
Adhikari, Bikram
Kafle, Dikshya
Shakya, Sunila
Spiegelman, Donna
Seth, Sangini
Stangl, Anne
Shrestha, Aamod Dhoj
Shrestha, Archana
Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
title Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
title_full Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
title_fullStr Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
title_full_unstemmed Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
title_short Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
title_sort association between cancer stigma and cervical cancer screening uptake among women of dhulikhel and banepa, nepal
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194964/
https://www.ncbi.nlm.nih.gov/pubmed/37200234
http://dx.doi.org/10.1371/journal.pone.0285771
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